Bikes from the Heart Donation Form

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BFTH Intake Form

Below, please describe the nature of your donation, and if you need assistance. Donation pickup is currently unavailable. Donations can be delivered to Bikes from the Heart at 3515 N Florida Avenue, Tampa, Tuesday through Thursday from 10 a.m. to 2 p.m. Donated bicycles do not need to be cleaned or repaired prior to pick-up; flat tires and loose chains are OK.

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Provide the address for pick-up of the potential donation. Be advised that Bikes from the Heart is a volunteer program, and potential donations pick-ups are subject to volunteer availability and location.

Email(Required)

Phone(Required)

Preferred Method of Contact(Required)

Phone

How do you wish for our volunteers to get in touch with you?

Donation Type(Required)

Full Bicycle(s)

Tools, materials, or workstation equipment

Bike parts

Please let the volunteers know what you are attempting to donate.

Quantity(Required)

Number of bikes being donated.

Makes and Models (if discernable)

Please provide whatever information you can on the bike(s) attempting to be donated.

Description of Donation

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BFTH Intake Form

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